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A NEW DIAGNOSIS OF LEFT MAIN CORONARY ARTERY ATRESIA IN A VERY OLD WOMAN
Author(s) -
Veronese Nicola,
Mosele Marco,
Napodano Massimo,
Sergi Giuseppe,
Manzato Enzo
Publication year - 2011
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2010.03296.x
Subject(s) - medicine , cardiology , atresia , chest pain , ejection fraction , coronary artery disease , population , heart failure , environmental health
Judging from angiographies performed for\udsuspected obstructive coronary disease, coronary artery\udanomalies (CAAs) affect approximately 1.3% of the general\udpopulation. Among such CAAs, left main coronary artery\ud(LMCA) atresia is a rare finding; 28 cases have been reported since 1997: 15 pediatric cases and 13 adult cases.\udAlthough the surgical reconstruction of a two-coronary\udarterial system is the procedure of choice for pediatric\udpatients (to provide an adequate anterograde flow and\udmake the left-sided myocardium independent of the inadequate\udcollateral flow coming from the right coronary\udartery3), a coronary artery by-pass might be considered for\udelderly patients, particularly if they have atherosclerosis,\udalthough a medical approach was preferred as the first-line\udtherapy for this patient because it was felt that a coronary\udartery bypass was unsuitable because of the narrow diameter of her coronary vessels and her old ag